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Alleviating Worker Shortages Through Targeted Subsidies: Evidence from Incentive Payments in Healthcare / Ashvin Gandhi, Andrew Olenski, Krista J. Ruffini, Karen Shen.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Gandhi, Ashvin.
Contributor:
National Bureau of Economic Research.
Olenski, Andrew.
Ruffini, Krista J.
Shen, Karen.
Series:
Working Paper Series (National Bureau of Economic Research) no. w32412.
NBER working paper series no. w32412
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2024.
Summary:
Worker shortages are common in many industries. This paper examines the effect of government subsidies to address these shortages in the context of a reform that tied Medicaid payments to nursing home staffing levels. We find that the reform substantially increased staffing, especially for facilities serving many Medicaid patients. Facilities responded primarily by hiring workers in lower-wage roles rather than increasing hours of incumbent or high-wage staff. This contrasts with null effects we estimate for a non-incentivized rate increase, suggesting that the incentive structure of government payments--rather than just the level--is key to boosting employment in sectors facing worker shortages.
Notes:
Print version record
May 2024.

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